← Return to Anyone taken Evenity (romosozumab) for Osteoporosis?

Discussion
Comment receiving replies
@rjd

It is my understanding that when you have Medicare Advantage, also know as a Medicare Part C plan, it subsumes both Part A and Part B for plan participants. I think of this role as providing an umbrella under which Parts A(hospitalization), B ( doctors and outpatient treatment,) and often Part D (medication not covered under Part B) are administered.

Although an Advantage Plan must provide the same benefits as Medicare Parts A& B, I think it can play around a bit with the procedure for obtaining those benefits. For example, the expanding trend of prior approval might be just that sort of 'playing around.'

I thought I could provide a cite to where I read this on one of the Medicare.gov myriad websites, but cannot locate it now.

Jump to this post


Replies to "It is my understanding that when you have Medicare Advantage, also know as a Medicare Part..."

@rjd In my experience your post is not correct. Medicare Part B is not in the umbrella of Medicare Advantage and my Evenity was covered by regular Medicare B, not my Advantage Plan. I cannot have a supplement with my Advantage Plan so I paid 20%. I don't know but it seems those with regular Medicare plus a good supplement may pay little or nothing. After all my Advantage Plan is only $79/month and it covers Part D meds, dental, vision, hearing.

I agree with @normahorn that this discussion is probably better conducted with our insurance companies!